Provider Demographics
NPI:1568765980
Name:BERNARD, SHERELL MARQUITA-EVERETT (MSN-CRNA)
Entity Type:Individual
Prefix:MISS
First Name:SHERELL
Middle Name:MARQUITA-EVERETT
Last Name:BERNARD
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Gender:F
Credentials:MSN-CRNA
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Mailing Address - Street 1:PO BOX 13579
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612-3579
Mailing Address - Country:US
Mailing Address - Phone:484-628-1324
Mailing Address - Fax:484-334-7026
Practice Address - Street 1:160 E ERIE AVE FL 2
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-1011
Practice Address - Country:US
Practice Address - Phone:215-427-5220
Practice Address - Fax:215-427-4339
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-07
Last Update Date:2023-03-20
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Provider Licenses
StateLicense IDTaxonomies
PARN547944367500000X
PATGRN029952367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered